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Individual

MR. ROBERT W MEDICI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1042296
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009962550
AL
Enumeration date
01/18/2006
Last updated
11/03/2011
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